Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amy Lynn Nicholson

Individual provider Peer Specialist · NPI 1952025819

Amy Lynn Nicholson is a Peer Specialist in Everett, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

9930 Evergreen Way Ste Z150
Everett, WA 98204-3889
Phone: (425) 347-5121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence CO61510344 (WA)
Peer Specialist Taxonomy 175T00000X

Record details

NPI number1952025819
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 3, 2022
Last updated in NPPESJuly 15, 2024
Certification dateJuly 15, 2024
Mailing address1926 W Casino Rd Apt F206, Everett, WA 98204-8416

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